WHY WOULD I NEED ENDODONTIC SURGERY?
Generally, a root canal is all that is needed to save teeth with injured pulp from extraction. Occasionally, this non-surgical procedure will not be sufficient to heal the tooth and your endodontist will recommend surgery. Endodontic surgery can be used to locate fractures or hidden canals that do not appear on x-rays but still manifest pain in the tooth. Damaged root surfaces or the surrounding bone may also be treated with this procedure. The most common surgery used to save damaged teeth is an apicoectomy or root-end resection.
WHAT IS AN APICOECTOMY?
An incision is made in the gum tissue to expose the bone and surrounding inflamed tissue. The damaged tissue is removed along with the end of the root tip. A root-end filling is placed to prevent reinfection of the root and the gum is sutured. The bone naturally heals around the root over a period of months restoring full function.
Following the procedure, there may be some discomfort or slight swelling while the incision heals. This is normal for any surgical procedure. To alleviate any discomfort, an appropriate pain medication will be recommended. If you have pain that does not respond to medication, please call our office.
We will schedule your appointment as promptly as possible. If you have pain or an emergency situation, please let us know. We do have times set aside for emergencies. Please arrive on time and honor your scheduled visit. We have a 24 hour cancellation policy. To avoid the $75 cancellation fee, please notify us in advance of your need to change a scheduled appointment.
Please call us at 808-218-6650 with any questions or to schedule an appointment.
A PARENT OR LEGAL GUARDIAN MUST ACCOMPANY ALL PATIENTS UNDER 18 DURING THEIR VISITS.
PLEASE ALERT THE OFFICE IF YOU HAVE A MEDICAL CONDITION THAT MAY BE OF CONCERN PRIOR TO SURGERY (I.E. DIABETES, HIGH BLOOD PRESSURE, ARTIFICIAL HEART VALVES AND JOINTS, RHEUMATIC FEVER, ETC.) OR IF YOU ARE ON ANY MEDICATION (I.E. HEART MEDICATIONS, ASPIRIN, ANTICOAGULANT THERAPY, ETC.) OR REQUIRE MEDICATION PRIOR TO DENTAL CLEANINGS (I.E ANTIBIOTICS, FOR PRE-MED.)